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Desta Kebede, NP
Family Nurse Practitioner in York, Pennsylvania
NPI 1063029957

Desta Kebede is a Family Nurse Practitioner based in Toledo, PA and is specialized in Family. Desta Kebede practices in York, PA and has the professional credentials of NP. The NPI Number for Desta Kebede is 1063029957 and holds a License No. SP022290 (Pennsylvania).

The current practice location address for Desta Kebede is 3417 Concord Rd Ste C, York, PA and can be reached out via phone at 717-840-1002.

Location: 3417 Concord Rd Ste C, York, PA, 43604-2615
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1063029957
Provider Name
Desta Kebede
Credential
NP
Provider Entity Type
Individual
Gender
Female
Address
3417 Concord Rd Ste C, York, PA, 43604-2615
Phone Number
717-840-1002
Fax Number
Provider Enumeration Date
09/25/2020
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
SP022290 01 PA NP LICENSE
institution
Provider Business Practice Location Address Details
Address
3417 Concord Rd Ste C
City
York
State
Pennsylvania
Zip
17402-9001
Phone Number
717-840-1002
Fax Number
person
Provider Business Mailing Address Details
Address
3417 Concord Rd Ste C
City
York
State
Pennsylvania
Zip
17402-9001
Phone Number
717-840-1002
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
SP022290 (Pennsylvania)
Definition
Definition to come...
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